| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
308,392 |
223,586 |
$91.50M |
| 99214 |
|
68,216 |
65,130 |
$717K |
| 90834 |
|
98,877 |
79,844 |
$449K |
| 99213 |
|
48,829 |
46,851 |
$344K |
| G0470 |
Fqhc visit, mh estab pt |
515 |
398 |
$117K |
| 80061 |
|
5,444 |
5,438 |
$57K |
| 97803 |
|
2,370 |
2,350 |
$52K |
| 90832 |
|
36,594 |
32,931 |
$46K |
| 80053 |
|
5,593 |
5,577 |
$45K |
| 84443 |
|
3,358 |
3,354 |
$44K |
| G0469 |
Fqhc visit, mh new pt |
179 |
153 |
$42K |
| 90791 |
|
25,309 |
25,080 |
$35K |
| 83036 |
|
4,521 |
4,516 |
$35K |
| 86480 |
|
549 |
549 |
$28K |
| 87389 |
|
1,361 |
1,361 |
$25K |
| 85025 |
|
4,110 |
4,095 |
$24K |
| 90792 |
|
10,343 |
10,324 |
$22K |
| 82274 |
|
1,537 |
1,535 |
$20K |
| 87591 |
|
673 |
672 |
$18K |
| 87491 |
|
668 |
668 |
$18K |
| 99212 |
|
3,566 |
3,506 |
$14K |
| 87536 |
|
194 |
193 |
$13K |
| 92250 |
|
508 |
508 |
$9K |
| G0467 |
Fqhc visit, estab pt |
245 |
206 |
$8K |
| 86803 |
|
701 |
701 |
$8K |
| 97802 |
|
238 |
237 |
$6K |
| 86704 |
|
565 |
565 |
$6K |
| H1003 |
Prenatal at risk education |
432 |
343 |
$6K |
| 86706 |
|
629 |
629 |
$6K |
| 87428 |
|
138 |
138 |
$5K |
| 96156 |
|
393 |
350 |
$5K |
| 90686 |
|
342 |
342 |
$5K |
| 80048 |
|
655 |
651 |
$5K |
| U0003 |
Cov-19 amp prb hgh thruput |
67 |
67 |
$4K |
| 86592 |
|
1,285 |
1,285 |
$4K |
| 80307 |
|
136 |
120 |
$4K |
| G2025 |
Dis site tele svcs rhc/fqhc |
219 |
181 |
$4K |
| 82043 |
|
727 |
727 |
$4K |
| 82570 |
|
785 |
785 |
$3K |
| 93922 |
|
117 |
117 |
$3K |
| 83550 |
|
440 |
440 |
$3K |
| 87086 |
|
471 |
468 |
$3K |
| 90677 |
|
12 |
12 |
$3K |
| 83540 |
|
507 |
507 |
$3K |
| 99215 |
Prolong outpt/office vis |
1,267 |
1,242 |
$3K |
| 84439 |
|
300 |
299 |
$2K |
| 99401 |
|
230 |
227 |
$2K |
| 96110 |
|
486 |
486 |
$2K |
| 81025 |
|
780 |
769 |
$2K |
| 84460 |
|
474 |
473 |
$2K |
| 84450 |
|
485 |
484 |
$2K |
| 81002 |
|
1,064 |
1,003 |
$2K |
| 82728 |
|
527 |
527 |
$2K |
| 97110 |
|
98 |
55 |
$2K |
| 90837 |
|
3,298 |
3,030 |
$2K |
| 92551 |
|
133 |
133 |
$2K |
| H0043 |
Supported housing, per diem |
203 |
111 |
$2K |
| 81015 |
|
598 |
594 |
$1K |
| 82951 |
|
118 |
114 |
$1K |
| 87811 |
|
37 |
37 |
$1K |
| 90756 |
|
52 |
52 |
$1K |
| 93000 |
|
36 |
36 |
$1K |
| H1001 |
Antepartum management |
18 |
14 |
$1K |
| 90472 |
|
111 |
111 |
$899.10 |
| 86140 |
|
192 |
190 |
$887.77 |
| 87210 |
|
240 |
239 |
$870.61 |
| 99393 |
|
14 |
14 |
$761.04 |
| 84153 |
|
45 |
45 |
$719.24 |
| 85651 |
|
269 |
266 |
$637.45 |
| 90471 |
|
1,720 |
1,714 |
$595.66 |
| 36415 |
|
6,804 |
6,660 |
$477.00 |
| 87522 |
Neg quan hep c or qual rna |
13 |
13 |
$454.51 |
| S9445 |
Pt education noc individ |
3,308 |
3,144 |
$420.05 |
| 85018 |
|
153 |
152 |
$320.76 |
| 81003 |
|
172 |
171 |
$316.46 |
| 85610 |
|
80 |
75 |
$279.20 |
| 98960 |
|
2,221 |
1,747 |
$193.67 |
| 87070 |
|
49 |
49 |
$165.22 |
| 99406 |
|
68 |
66 |
$150.00 |
| 86708 |
|
12 |
12 |
$132.12 |
| 87340 |
|
24 |
24 |
$109.44 |
| 83735 |
|
16 |
16 |
$95.36 |
| 82947 |
|
29 |
29 |
$89.10 |
| H0001 |
Alcohol and/or drug assess |
265 |
132 |
$75.00 |
| 99000 |
|
3,425 |
3,299 |
$43.56 |
| 80354 |
|
91 |
90 |
$21.84 |
| 96127 |
|
14,167 |
11,931 |
$20.46 |
| 99173 |
|
142 |
142 |
$7.08 |
| 3078F |
|
41,097 |
39,559 |
$0.01 |
| 3074F |
|
48,120 |
46,254 |
$0.01 |
| 3008F |
|
5,568 |
5,404 |
$0.01 |
| 90785 |
|
1,174 |
1,142 |
$0.00 |
| 96160 |
|
341 |
340 |
$0.00 |
| T1013 |
Sign lang/oral interpreter |
577 |
554 |
$0.00 |
| 90460 |
|
57 |
57 |
$0.00 |
| X4110 |
|
1,515 |
715 |
$0.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
12 |
12 |
$0.00 |
| 98940 |
|
28 |
27 |
$0.00 |
| X3904 |
|
323 |
177 |
$0.00 |
| V2020 |
Vision svcs frames purchases |
12 |
12 |
$0.00 |
| H2016 |
Comp comm supp svc, per diem |
46 |
33 |
$0.00 |
| X4301 |
|
47 |
47 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
27 |
26 |
$0.00 |
| 3077F |
|
123 |
117 |
$0.00 |
| 59425 |
|
84 |
84 |
$0.00 |
| 87804 |
|
30 |
30 |
$0.00 |
| 92015 |
|
13 |
13 |
$0.00 |
| 97530 |
|
41 |
13 |
$0.00 |
| 91313 |
|
12 |
12 |
$0.00 |
| 87880 |
|
64 |
63 |
$0.00 |
| 85007 |
|
15 |
15 |
$0.00 |
| 90833 |
|
18 |
16 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |
| H0005 |
Alcohol and/or drug services |
38 |
13 |
$0.00 |
| 90836 |
|
21 |
21 |
$0.00 |
| 99395 |
|
14 |
13 |
$0.00 |
| 97164 |
|
13 |
13 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
2,246 |
2,215 |
$0.00 |
| 3079F |
|
4,615 |
4,466 |
$0.00 |
| G9012 |
Other specified case mgmt |
3,327 |
2,267 |
$0.00 |
| X4304 |
|
835 |
368 |
$0.00 |
| 90847 |
|
647 |
417 |
$0.00 |
| 99402 |
|
81 |
80 |
$0.00 |
| 3075F |
|
639 |
624 |
$0.00 |
| 2023F |
|
36 |
36 |
$0.00 |
| 97139 |
|
49 |
41 |
$0.00 |
| 92507 |
|
24 |
14 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
2,807 |
1,919 |
$0.00 |
| X3924 |
|
37 |
32 |
$0.00 |
| 3044F |
|
251 |
251 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
73 |
73 |
$0.00 |
| 98941 |
|
12 |
12 |
$0.00 |
| X4100 |
|
15 |
15 |
$0.00 |
| X4102 |
|
15 |
15 |
$0.00 |